Capital Rx

?? Don't miss our webinar TOMORROW with Kristin Begley, PharmD, Jeffrey Hogan, and Workplace Intelligence’s Dan Schawbel! Register now to learn how: ?? To improve the evaluation and contracting of vendors ?? Equitable benefits and enhanced access to care can improve employee engagement, satisfaction, and organizational goals ? Future-proof new-to-market technology can align health benefits with organizational goals and long-term success Click here and save your spot: https://okt.to/jrCRq0

As we often mention on the #AstonishingHealthcare podcast, being able to leverage modern enterprise health technology (like Judi?) makes a difference. Angela Kalantarova, PharmD highlighted how Judi enables more accurate insight into current #StarRatings in comparison to other systems she's worked on. As she puts, it. "Our technology has been a huge differentiator." The best part is while Angela's example focuses on Medicare star ratings, the point also applies more broadly -- no matter your plan type or size. If you're looking for clarity around #pharmacy program trends and access to your data, a better path forward is available with Capital Rx and Judi. ?? Listen to the full episode here: https://okt.to/U0zV4e

Happy March! What better way to start the new month than checking out our February #newsletter? We cover our press release about Judi Health?, the industry's first #unifiedclaims processing platform, Brian TenEyck's advice on not fearing a #PBM switch, 4 new #AstonishingHealthcare podcast episodes with Bridget Mulvenna, A. J. Loiacono, Sunil Budhrani MD MPH MBA, Mike Miele, and Angela Kalantarova, PharmD, and information about our upcoming #webinars! There's so much more content packed into the newsletter, so grab your morning coffee and dive in. ??

As February comes to an end, we wanted to take a moment to celebrate and honor #BlackHistoryMonth2025. This month is all about recognizing the Black community's profound impact and enduring contributions every day of the year. At Capital Rx, we believe our teams' diversity makes us stronger. Earlier this month, one of our team members, Brittany Moore (Manager, Clinical Care) shared some fun Black History Month facts from the Census Bureau. Click here to check them out: https://okt.to/mzWI6T

Goooood morning, LinkedIn! ?? Our newest #AstonishingHealthcare podcast is now live, and you're not going to want to miss it (especially if you focus on #Medicare Part D plans). We spoke to Angela Kalantarova, PharmD (Senior Manager, Clinical Programs) about #StarRatings, what might be on the horizon for #MTM, how Judi? helps, and what strategies #plansponsors can use to improve their star ratings going forward. ?? Listen to the full episode here: https://okt.to/WXIEVb

Is it possible to manage rising #pharmacy costs while also transforming your health benefits program into a paradigm of employee well-being and organizational growth? Kristin Begley, PharmD and Jeffrey Hogan will join Workplace Intelligence’s Dan Schawbel on March 5 to discuss: ?? How to improve the evaluation and contracting of vendors ?? How equitable benefits and enhanced access to care can improve employee engagement, satisfaction, and organizational goals ? Future-proof, new-to-market health #technology that can align benefits with organizational goals and long-term success Click here to register now and save your spot: https://okt.to/OtfziE

With more than 50% of the US covered by employer-sponsored insurance, it's more than likely that you or someone you know -- whether it's a plan member, a dependent, or their provider – has called the #customercare line to get assistance or answers about a specific concern. What goes into creating a world-class virtual call center that leads the industry in NPS, wins awards, and achieves a 99% Customer Satisfaction Rate (#CSAT)? To answer those questions, we talked with?William Tafoya (SVP, Customer Care). He broke down the strategies that make Capital Rx's call center a flexible, knowledgeable resource center for #plansponsors, members, and providers alike. Additionally, he explained how Judi? and #AI are being leveraged to make the caller experience more helpful and efficient, contributing to our astonishing 95% First Call Resolution (FCR) rate. Click below to read the full article and see how Will has helped build an award-winning call center from the ground up!

You're not going to want to miss our #M3P webinar on March 14! We’ll be covering everything you need to know about the program, our end-to-end, turnkey solution, and how it helps Medicare Part D #plansponsors meet Centers for Medicare & Medicaid Services requirements and deliver a great member experience. Register now: https://okt.to/eIO8bN

Join Kristin Begley, PharmD and Jeffrey Hogan on March 5 for a vital discussion on pharmacy costs and health benefits hosted by bestselling author and Workplace Intelligence managing partner, Dan Schawbel! They’ll explore a serious challenge #plansponsors face: how #pharmacy costs now make up nearly 30% of #healthcare spending, with specialty medications alone driving over half of those expenses. Click here to register and learn about innovative strategies that can be leveraged to transform your health benefits program: https://okt.to/JAK9oN

As we discussed during episode 55 of the #AstonishingHealthcare podcast, the ceiling has only risen in terms of how expensive a claim can be. That's why it's vital for self-funded #plansponsors to know about these claims as soon as possible. As Mike Miele, FSA, MAAA (SVP, Insured Services) explains in the episode, "When we first developed these actuarial stop-loss models, we said, well, the most a claim can ever be in one year is $2 million. And that wasn't like 50 years ago; that was maybe 10 years ago. And not a day goes by that I don't hear about a $3 million, or $4 million, or $5 million claim. That was a mathematical impossibility 10 years ago." ?? Listen to the full episode here: https://okt.to/RdYUsq